***Please do not share personal health information on this form.
By providing your email address and/or telephone number, you consent to be contacted for purposes related to your care, including appointment reminders, follow-up communication, and relevant administrative or nutrition-related information. You understand that email and text communication may not be fully secure, and that voicemail messages may be left unless you request otherwise. You may withdraw or change your consent at any time by contacting the clinic.
*I consent to be contacted by telephone or email.
Nourish your body with intention—small changes today can shape how you feel tomorrow. Let’s start the conversation.
Let food be thy medicine and medicine be thy food-Hippocrates
